英文版医院感染控制课件.pptxVIP

Targeted Surveillance for Nosocomial Infections Barbara M. Soule, RN, MPA, CIC Chinese Society for Nosocomial Infections July 4-5, 2004 Suzhou, China Outbreak Investigation Education Surveillance Program Management Consultation 2 IC Practitioner (ICP) Activities Miscellaneous Study the distribution of problems and events within a defined (targeted) population at risk for developing specific infections in order to plan implement interventions. Surveillance has an Epidemiologic foundation 3 3 Key Surveillance Methods Hospital-wide Traditional Surveillance All infections – complete- time consuming Limits time for interventions Periodic Surveillance Selected infections or populations periodically over time Miss some infections Targeted Surveillance 4 Advantages/Disadvantages Adaptedfrom Pottinger et al Gaynes et al. 5 Targeted Surveillance CDC’s National Nosocomial Infections Surveillance (NNIS) System Targets: Antimicrobial Intensive Care Use and Unit Resistance (Adult/Pediatric) High Risk Nursery (NICU) NNIS System Surgical Patient Risk adjusted AUR SSIs by ICU Procedures HRN 7 Ventilator- Intensive Care Primary Blood Primary Orthopedic Medical /Surgical ICUs Your Hospital Surveillance System Targets: Pneumonia (Pediatric) Infections Pr es ur G d B oce CA Associated Unit Stream Neurosurgical or Your Hospital VAP ICU BSI SSI 8 Which infection to target? • Focus on patients at high risk for HAI • Patient care areas – ICU’s, cardio-thoracic surgery, cancer ward • Specific populations – neonates, transplant patients, hemodialysis pts • Procedures / Devices – CT surgery, central vascular lines, ventilators • Organisms of epidemiologic importance • – MRSA, VRSA 9 Targeted Surveillance for Outcomes • Primary Bloodstream infections • Ventilator-associated pneumonia, • Surgical site infections • MRSA, VRE infections • V